Provider Demographics
NPI:1750154514
Name:SUN, NING (LAC)
Entity type:Individual
Prefix:
First Name:NING
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:LAC
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Mailing Address - Street 1:104 S ESTES DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHAPEL MILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-433-4480
Mailing Address - Fax:919-900-8875
Practice Address - Street 1:104 S ESTES DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CHAPEL MILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-433-4480
Practice Address - Fax:919-900-8875
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist